Provider Demographics
NPI:1629545884
Name:MARLBORO FIRST AID & RESCUE SQUAD INC
Entity Type:Organization
Organization Name:MARLBORO FIRST AID & RESCUE SQUAD INC
Other - Org Name:MARLBORO FIRST AID SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CEMBOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-536-1166
Mailing Address - Street 1:146 WYNCREST RD
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:146 WYNCREST RD
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1646
Practice Address - Country:US
Practice Address - Phone:732-536-1166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1311036OtherNJ DOH